OrganizationActive
Meridian Advanced Psychiatry , LLC
NPI 1609412683 · Addiction Medicine (Psychiatry & Neurology) Physician · Meridan, ID
Provider details
- NPI number
- 1609412683
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Hulsey, Ceo(208) 789-0202
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1672 S Woodsage Ave.
Meridan, ID 83642
Phone: (208) 515-2273
Fax: (208) 515-2274
Street-level locationGet directions
Mailing address
1672 S Woodsage Avenue
Meridan, ID 83642
Additional practice locations (1)
- 1660 S Woodsage AveMeridian, ID 83642-7670Phone: (208) 515-2273Fax: (208) 515-2274
Registry dates
- Enumerated
- 2019-11-25
- Last updated
- 2020-05-12
- Certified
- 2020-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.